title: Miliary nodules due to secondary pulmonary hemosiderosis in rheumatic heart disease.
abstract: Pulmonary hemosiderosis is defined as the clinical and functional consequence of iron overload of the lungs, which usually occurs due to recurrent intra-alveolar bleeding. It can manifest as miliary mottling and should be entertained in the differential diagnosis of patients presenting with miliary nodules on chest radiography, especially those with mitral stenosis. The management of secondary pulmonary hemosiderosis secondary to valvular heart disease includes valvuloplasty and/or valve replacement. The radiological opacities may disappear with successful treatment of the underlying valvular disease in many patients. However, they may persist with no physiological impairment to the patient. Here, we present a 32-year-old man with mitral stenosis who presented with fever and miliary shadows on chest radiography, which was ultimately diagnosed as secondary pulmonary hemosiderosis.
authors.affiliation: Gyanendra Agrawal, Ritesh Agarwal, Department of Pulmonary Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.
authors.forename: Gyanendra
authors.initials: G
authors.lastname: Agrawal
authors.forename: Ritesh
authors.initials: R
authors.lastname: Agarwal
authors.forename: Manoj Kumar
authors.initials: MK
authors.lastname: Rohit
authors.forename: Venkat
authors.initials: V
authors.lastname: Mahesh
authors.forename: Rakesh Kumar
authors.initials: RK
authors.lastname: Vasishta